G. Tu et al., Non-replicating Epstein-Barr virus-based plasmids extend gene expression and can improve gene therapy in vivo, J BIOL CHEM, 275(39), 2000, pp. 30408-30416
To date, no gene transfer vector has produced prolonged gene expression fol
lowing a single intravenous injection and then efficiently re-expressed the
delivered gene following repeated systemic injection into immunocompetent
hosts. To overcome these limitations, a gene therapy regimen using non-repl
icating Epstein-Barr virus (EBV)-based expression plasmids was developed. O
ne plasmid contains the FR (EBV family of repeats) sequence and the express
ed gene. The other encodes Epstein-Barr nuclear antigen 1 (EBNA-1), but lac
ks FR. Although unable to replicate in mice, intravenous co-injection of EB
V-based plasmids in cationic liposome-DNA complexes (CLDCs) substantially p
rolonged luciferase gene expression. The use of a two-vector system limited
host exposure to the EBNA-1 gene product. Furthermore, this EBV-based vect
or system could be intravenously re-injected multiple times into immunocomp
etent mice without loss of transfection efficiency. Use of this vector syst
em significantly improved the therapeutic efficacy of the biologically impo
rtant human granulocyte colony-stimulating factor gene. Delivery of the hum
an granulocyte colony-stimulating factor gene in EBV-based plasmids increas
ed circulating white blood counts for at least 2 months following a single
CLDC-based intravenous co-injection. Conversely, white blood counts were ne
ver elevated following injection of CLDCs lacking EBV-derived elements. Thu
s, this EBV-based plasmid vector system both markedly prolongs gene express
ion at therapeutic levels and efficiently and repeatedly re-transfects immu
nocompetent hosts. These properties of EBV-based plasmid vectors appear to
be due, at least in part, to the documented abilities of the EBNA-1 protein
both to retain FR-containing DNA intracellularly and within the nucleus an
d to block anti-EBNA-1 cytotoxic T cell responses.